PATIENT-PERCEIVED BARRIERS TO PREVENTIVE HEALTH-CARE AMONG INDIGENT, RURAL APPALACHIAN PATIENTS
PATIENT-PERCEIVED BARRIERS TO PREVENTIVE HEALTH-CARE AMONG INDIGENT, RURAL APPALACHIAN PATIENTS
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DOI：
10.1001/archinte.155.4.421
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发表时间：
1995-02-27
影响因子：
--
通讯作者：
SHOCKCOR, WT
中科院分区：
文献类型：
--
作者：
ELNICKI, DM;MORRIS, DK;SHOCKCOR, WT
Objective: To examine perceptions of a cohort of rural Appalachian patients regarding barriers to the use of preventive health measures.Methods: Consecutive new patients (N=188) at a clinic for the indigent were confidentially surveyed about their use of six preventive health measures: blood pressure screening, cholesterol level, diphtheria-tetanus immunization, mammography, cervical Papanicolaou smear, and physical examination. When any of these measures was lacking, patients were asked why, and whether they would have the measure performed if the relevant barriers were removed.Results: Applicable screening measures lacking were as follows: blood pressure screening, 16%; cholesterol level, 60%; diphtheria-tetanus immunization, 67%; mammography, 69%; Papanicolaou smear, 22%; and physical examination, 32%. Of the patients, 85% were lacking at least one measure. Patients most often identified the following reasons for having omitted these measures: lack of knowledge about prevention (51%) and cost (36%). Older and less educated patients more often identified cost (P
